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NPI Code Detail

MEDICARE: MRS. KRISTIN ADAMS M.ED

MEDICARE:  MRS. KRISTIN  ADAMS  M.ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystMI

General Provider Information

NPI Number : 1811417678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN ADAMS M.ED
Provider Business Mailing Address
First Line : 640 SEMINOLE RD
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-4720
Country : US
Telephone Number : 231-332-3898
Fax Number :
Provider Business Practice Location Address
First Line : 640 SEMINOLE RD
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-4720
Country : US
Telephone Number : 231-332-3898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2017
Last Update Date : 07/21/2022

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Directions to “ MRS. KRISTIN ADAMS M.ED” Practice Location

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